CN101460211A - Flexible connector - Google Patents
Flexible connector Download PDFInfo
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- CN101460211A CN101460211A CNA2007800207518A CN200780020751A CN101460211A CN 101460211 A CN101460211 A CN 101460211A CN A2007800207518 A CNA2007800207518 A CN A2007800207518A CN 200780020751 A CN200780020751 A CN 200780020751A CN 101460211 A CN101460211 A CN 101460211A
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- China
- Prior art keywords
- adapter
- flexible coupling
- patient
- rotary connector
- interface device
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/08—Bellows; Connecting tubes ; Water traps; Patient circuits
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/06—Respiratory or anaesthetic masks
- A61M16/0605—Means for improving the adaptation of the mask to the patient
- A61M16/0633—Means for improving the adaptation of the mask to the patient with forehead support
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/08—Bellows; Connecting tubes ; Water traps; Patient circuits
- A61M16/0816—Joints or connectors
- A61M16/0825—Joints or connectors with ball-sockets
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/08—Bellows; Connecting tubes ; Water traps; Patient circuits
- A61M16/0875—Connecting tubes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/06—Respiratory or anaesthetic masks
- A61M16/0605—Means for improving the adaptation of the mask to the patient
- A61M16/0627—Means for improving the adaptation of the mask to the patient with sealing means on a part of the body other than the face, e.g. helmets, hoods or domes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/06—Respiratory or anaesthetic masks
- A61M16/0683—Holding devices therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/08—Bellows; Connecting tubes ; Water traps; Patient circuits
- A61M16/0816—Joints or connectors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/02—General characteristics of the apparatus characterised by a particular materials
- A61M2205/0216—Materials providing elastic properties, e.g. for facilitating deformation and avoid breaking
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10S128/00—Surgery
- Y10S128/912—Connections and closures for tubes delivering fluids to or from the body
Landscapes
- Health & Medical Sciences (AREA)
- Emergency Medicine (AREA)
- Pulmonology (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Hematology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
- Respiratory Apparatuses And Protective Means (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
Abstract
A flexible connector that couples a delivery conduit to a patient interface device and a pressure support system that includes such a flexible connector. The flexible connector of the present invention prevents disruption of the seal between the patient interface and the patient's face. The flexible connector may have a bellows portion with a longitudinally directed portion, a narrowed neck portion, or a plurality of corrugations. The flexible connector may further have a swivel portion and/or an exhaust member, and/or a hinge member.
Description
According to U.S.C. § 119 (e), the application requires to enjoy the U.S. Provisional Patent Application No.60/811 that submitted on June 5th, 2006,006 priority, at this as a reference in conjunction with its full content.
Technical field
The present invention relates generally at respiratory tract the adapter that uses in the pressure support system of air-flow is provided, and relate in particular to the pressure support system that delivery catheter is couple to the flexible connector of patient interface device and comprises this flexible connector to the patient.
Background technology
Under many circumstances, it is necessary and expectation that noinvasive ground transmits respiratory air flow to patient's air flue, that is, do not need to insert airway tube to patient's intubate or in by the esophagus of operation the patient.For example, utilize the noinvasive ventilating technology to ventilate for the patient.It also is known transmitting continuous positive airway pressure (CPAP) or variable airway pressure, two horizontal pressure forces that this variable airway pressure for example changes along with patient's breathing cycle or the automatic pressure regulation that changes along with the status of patient that monitors.Typical pressure supporting treatment is used for treating internal disease, such as sleep apnea syndrome, and particularly obstructive sleep apnea (OSA) or congestive heart failure.
As used herein, phrase " pressure support system ", " pressure support device ", " positive pressure support " and derivative words thereof comprise any armarium or the method that transmits respiratory air flow to patient's air flue, include but not limited to respirator, CPAP, PAV, PPAP or two horizontal pressure force back-up system.
Noinvasive ventilation and pressure supporting treatment relate to the setting of patient interface device, generally include nose cup or nose/mask on the face that is positioned at the patient, so that pressure support system is connected with patient airway, thereby make respiratory air flow be sent to patient's air flue from pressure/miscarriage generating apparatus.Usually, transmit respiratory air flow via the transfer canal or the patient circuit that pressure/miscarriage generating apparatus are connected to cover.Can use headband (headgear) to keep cover on patient's face.
Because such cover can be worn a very long time usually, so must consider various factors.For example, when CPAP was provided with treatment OSA, the patient can wear patient interface device in bed at him or she usually in whole evening.The athletic meeting that a consideration in this case is a transfer canal destroys the sealing that is formed between cover and the patient's face.The adapter of prior art can not provide the pliability of necessity of considering this motion.Therefore, need a kind of adapter, it can provide increase between cover and transfer canal and motion more freely.
Summary of the invention
Therefore, the invention provides a kind of flexible connector that is used for pressure support system, the shortcoming that it has solved above-mentioned consideration and has overcome traditional adapter and/or patient interface device.Flexible connector of the present invention prevents the destruction of the sealing between patient interface device and the patient's face.This flexible connector can have rotating part.This flexible connector can comprise the elephant skin membrane portions with vertical directed section, venturi portion or a plurality of fold.The present invention further provides a kind of system that is used for transmitting air-flow, the shortcoming that it has solved above-mentioned consideration and has overcome legacy system to the patient.This is by providing a kind of system that transmits air-flow to the patient to realize, this system comprises that the air-flow that can produce air-flow produces equipment and has first end and the pipeline of the second end, and this first end effectively is couple to described air-flow and produces equipment.This line transportation produces the described air-flow of equipment from described air-flow.This system comprises the patient interface device that effectively is couple to the second end of described pipeline via flexible connector.This patient interface device can be the combination of nose cup assembly, mask, shape of the mouth as one speaks thing or nose/mask.
These and other objects, features and characteristic of the present invention, the operational approach of the related elements of structure and unit construction and function, and the economy of producing will be by with reference to becoming in ensuing description and appended claims obviously as the accompanying drawing of this description part, and similar in the accompanying drawings Reference numeral is represented corresponding parts.Yet, should understand very clearly, accompanying drawing is not to be used for limiting the present invention just in order to illustrate and describe purpose.
Description of drawings
Fig. 1 represents that principle according to an embodiment of the invention is used for transmitting to the patient system of air-flow;
Fig. 2 is that principle is coupled with the sectional view of adapter of cover bent sub (elbow) according to another embodiment of the present invention;
Fig. 3 is the sectional view of flexible coupling shown in Figure 2;
Fig. 4 is the partial cross section figure of the thickness distribution of explanation flexible coupling shown in Figure 2;
Fig. 5 is the side view that adapter shown in Figure 2 arrives the pull-out location of the flexible coupling that covers bent sub;
Fig. 6 is that principle is connected to the sectional view of adapter of cover bent sub according to another embodiment of the present invention;
Fig. 7 is that principle is connected to the sectional view of adapter of cover bent sub according to another embodiment of the present invention;
Fig. 8 is the sectional view of flexible coupling shown in Figure 7;
Fig. 9 is that principle is connected to the sectional view of adapter of cover bent sub according to another embodiment of the present invention;
Figure 10 is that principle is connected to the cross section partial exploded view of the adapter of cover bent sub and transfer canal according to another embodiment of the present invention;
Figure 11 is that principle is connected to the sectional view of the adapter of transfer canal according to another embodiment of the present invention;
Figure 12 is that principle is connected to the sectional view of the adapter of cover bent sub and transfer canal according to another embodiment of the present invention;
But Figure 13 and 14 is the arrangement of the flexible coupling of adapter among explanation the present invention;
But Figure 15 and 16 is arrangement of the flexible coupling of adapter among explanation the present invention;
Figure 17 is the side view of the adapter of principle according to another embodiment of the present invention;
Figure 18 is the side view of the adapter of principle according to another embodiment of the present invention;
Figure 19 is the state of disassembling of explanation adapter shown in Figure 180;
Figure 20 is the side view of the adapter of principle according to another embodiment of the present invention;
Figure 21 is the side view of the adapter of principle according to another embodiment of the present invention;
Figure 22 is the side cutaway view of adapter shown in Figure 21;
Figure 23 is according to the side view according to the adapter of the principle of another embodiment of the present invention.
The specific embodiment
Direction phrase used herein, for example, left and right, clockwise direction, counterclockwise, top, bottom, upper and lower and derivative words is relevant with the orientation of element shown in the accompanying drawing rather than claim is limited, unless clearly narration is wherein arranged.
As used herein, term " many " can mean one or more than one, " " of singulative, " one " or " described " comprise that plural number refers to thing, unless clear and definite sign otherwise in the context.
As used herein, two or more parts " connection " or " coupling " statement together mean that these parts directly or by one or more mid portions link together.In addition, as used herein, two or more parts " attached " statement together means that these parts directly link together.
Fig. 1 is the exemplary embodiments that explanation is used for transmitting to the patient system 5 of pressure breathing gas.System 5 comprises pressure generating equipment 12, pipeline 14, adapter 10 and patient interface device 20.Pressure generating equipment 12 (schematically showing) is used for producing air-flow.Pipeline 14 also can be referred to as patient circuit, has first end 16 that effectively couples with pressure generating equipment 12 and the second end 18 that is couple to patient interface device 20 via adapter 10.During system works, airflow passes pipeline 14, adapter 10 and patient interface device 20 that produces by pressure generating equipment 12 and the air flue that is sent to the patient.
Pressure/miscarriage generating apparatus 12 is that the respirator, pressure support system of arbitrary routine or other can be at the equipment that is higher than under the high pressure of ambient pressure to patient's air flue transmission airflow.The example of this system includes but not limited to: respirator, continuous positive airway pressure (CPAP) equipment or variable pressure equipment, as automatic conditioning equipment, proportional assisted ventilation (
) equipment, proportional Positive Airway Pressure (
) equipment, C-Flex
TMEquipment, Bi-Flex
TMEquipment or produce and issue by the Respironics company of PA Pittsburgh
Equipment, the pressure that offers the patient in this equipment changes along with patient's breathing cycle so that in the intake period pressure higher than transmission during exhaling, perhaps other pressure support device.The miscellaneous equipment to patient's air flue transmission airflow that is suitable for using together in the present invention comprises to air flue and applies height or positive/negative pressure so that secretion clearing or loosening.For this purpose, pressure generating equipment 12 is also referred to as air-flow and produces equipment, because can produce stream when producing barometric gradient.The transmission respiratory air flow comprises from pressure generating equipment 12 and transmits respiratory air flow and from patient's airborne release air-flow towards periphery to the patient between patient's air flue and pressure generating equipment 12.
Fig. 2-5 has illustrated adapter 10.Adapter 10 is used for pipeline 14 is connected to cover bent sub 22 (Fig. 1).With reference to Fig. 2 and 3, adapter 10 has the syllogic design, comprises flexible coupling that can be connected to bent sub 22 or the two-part rotary connector 28 that covers coupling part 26 and can be connected to transfer canal 14.Rotary connector 28 comprises the transfer canal part 30 that can be contained in the transfer canal 14 and is rotatably connected to transfer canal part 30 and non-rotatably is connected to the swivel adapter 32 that covers coupling part 26.As shown in Figure 1, transfer canal 14 non-rotatably friction fit on transfer canal part 30.Transfer canal part 30 has larger-diameter end 34 and than the end 36 of minor diameter.Larger-diameter end 34 can be connected with transfer canal 14.End 36 than minor diameter has near the position rotating groove 38 that is arranged on than the large-diameter end 34 in its outside.Swivel adapter 32 comprises shoulder part 40, and this shoulder part 40 has the interior section 42 that can be contained in the position rotating groove 38 and is formed for the stagewise exterior section 44 of shoulder of the end 46 (Fig. 3) that is rotatably connected of locating cover coupling part 26.Swivel adapter 32 further comprises and is generally columniform part 48.
Flexible coupling or cover coupling part 26 have cover link 50, and it is used for and bent sub 22 non-rotating coupling in the embodiment shown in Figure 2.Cover link 50 comprises the inner step 58 of the link 52 that is used to locate bent sub 22.The end 46 that is rotatably connected of cover coupling part 26 is used for and rotary connector 28 non-rotating coupling.In an illustrated embodiment, cover link 50 stretches link 52 tops that fit in bent sub 22.The end 46 that is rotatably connected stretches and fits in cylindrical part 48 tops of swivel adapter 32 and be positioned exterior section 44.Be rotatably connected end 46 and cover link 50 all has respectively the little internal diameter of external diameter than cylindrical part 48 or link 52, and can be bonding or mechanical caging to this cylindrical part 48 or link 52.Although be connected to bent sub 22, within the scope of the invention, consider that also this adapter 10 is fit to be connected to another device and/or is fit to be directly connected to patient interface device 20 at adapter 10 shown in the current embodiment.
Can know from Fig. 3 and see that cover coupling part 26 has flexible portion 54 at be rotatably connected end 46 and cover between the link 50.Flexible portion 54 comprises having the inside elephant skin membrane portions (bellows portion) 56 that is generally S-type cross section.Elephant skin membrane portions 56 has the inner bellows that is provided with along the longitudinal direction of cover coupling part 26.Elephant skin membrane portions 56 is thinner than rotation link 46 and cover link 50 usually.
Fig. 4 has illustrated the thickness distribution of flexible portion 54.The minimum thickness of the thickness of flexible portion 54 from the maximum ga(u)ge of the exterior section in S-type cross section to the lower interior portion curve place in S-type cross section reduces gradually.For example in the present embodiment, T
BT
AT
3T
2T
1T
0, T wherein
0Be minimum thickness.The thickness distribution of flexible portion 54 is used to help prevent " the pulling out " of taking place when inner bellows is completely pulled out of as shown in Figure 5.This thickness distribution also limits or the compliant motion of containment shroud coupling part 26.Elephant skin membrane portions 56 allows to center on the centrage 78 flexible and small amount of controlled relative motioies in a longitudinal direction of cover coupling part 26.Cover coupling part 26 is preferably formed by the liquid injection molding mould of injection mould that uses TPE or use silicones, produces suitable hardness, for example about 60 shore hardnesses.Also the material hardness of design can be with respect to the wall thickness of flexible portion 54 and is changed.For example, if want the wall thickness of the wall thickness of flexible portion 54 flexible portion 54 shown in Figure 4 relatively to increase, then can use more softish material.On the other hand, if want the wall thickness of the wall thickness of flexible portion 54 flexible portion 54 shown in Figure 4 relatively to reduce, then can use harder material.Although discussed by homogenous material and formed flexible portion 54 with all thickness, within the scope of the invention, also can consider to use more than a kind of material, wherein every kind of material all has relevant thickness.
Fig. 6-22 illustrates the alternate exemplary embodiment of adapter in accordance with the principles of the present invention.In these embodiments, the feature similarity shown in many features and Fig. 1-5.Therefore, the description to each embodiment will mainly concentrate on the characteristic feature of each adapter embodiment.These optional embodiment are mainly used in the multiple possible configuration of adapter in accordance with the principles of the present invention are described.But should be noted that other configuration also is possible and can considers to mix and mate element characteristics shown in all these embodiment.
In the embodiment shown in fig. 6, adapter 60 is similar to the adapter 10 shown in Fig. 1-5.But the cover link 62 of cover coupling part 64 has a plurality of grooves 66 on its outer surface, and this is convenient and attractive in appearance in order to grasp.Cover coupling part 64 is preferably formed by the liquid injection molding mould of injection mould that uses TPE or use silicones, produces suitable hardness, for example about 60 shore hardnesses.
In the embodiment shown in Fig. 7-8, adapter 70 is similar to D adapter shown in Fig. 1-5.But cover coupling part 72 has the venturi portion 74 that forms flexible engagement or be movably hinged.Venturi portion 74 provides a kind of not only simple but also firm design.Venturi portion 74 forms inside elephant skin membrane portions 76, these elephant skin membrane portions 76 common central shafts 78 ' (Fig. 8) (with shown in Figure 3 opposite with situation central axes) perpendicular to adapter 70.Venturi portion 74 allows adapter 70 not only around central shaft 78 ' the flexible but also lengthwise movement of covering coupling part 72.Cover coupling part 72 is preferably formed by the liquid injection molding mould of injection mould that uses TPE or use silicones, produces suitable hardness, for example about 60 shore hardnesses.
Although adopt slightly different scheme, adapter 90 shown in Figure 9 is similar to the adapter shown in Fig. 1-5.Adapter 90 is for having the two-piece design of flexible cover coupling part 92 and transfer canal part 94.Thereby adapter 90 is compared with the adapter described in the previous embodiment, has still less structure or geometry.Transfer canal part 94 comprises detent 96 and shoulder part 98.Cover coupling part 92 has to insert and reduces diameter parts 99 in the groove 96.As shown in Figure 9, adapter 90 does not rotate.Yet, can design the rotary connector of adding such as above-mentioned rotary connector 28.Usually, adapter 90 is formed by the more soft relatively or more resilient material such as low modulus TPE or gel, to form the baffle plate (damper) that can isolate transfer canal 14 and cover coupling part 92.
In the embodiment shown in fig. 10, adapter 100 is similar to the adapter shown in Fig. 1-5.Yet adapter 100 comprises that in the cover link 104 of cover coupling part 106 firm adapter inserts body 102.Firm adapter inserts body 102 or takes shape in cover link 104 as independent element insertion or external mold.Firm adapter inserts body 102 and provides with the taper shape of bent sub 22 ' and engage, and has the conical butt connector end 108 corresponding conical butt internal diameters with bent sub 22 '.Therefore, adapter 100 can be connected with bent sub 22 ' or disconnect fast.In this case, can be by connecting fast such as the equipment realization that refers to button (finger-lock) and disconnecting.Although not explanation can be inserted between body 102 and the bent sub 22 ' at firm adapter and is combined with rotary connector.
In the embodiment shown in fig. 11, adapter 110 is similar to the adapter shown in Fig. 1-5.Yet flexible coupling 112 is connected to transfer canal 14 and rotary connector 114 for example can be connected to the bent sub (not shown) that is attached to patient interface device.As a result, adapter 110 can be connected with bent sub and disconnect apace.
In the embodiment shown in fig. 12, adapter 120 is similar to the adapter shown in Fig. 1-5, except transfer canal part 30 ' does not comprise the rotary connector.
But Figure 13-14 and 15-16 have illustrated the arrangement of flexible connector.Adapter 130,150 comprise allow adapter 130,150 around central shaft 78 ", 78 " ' a plurality of fold of flexible and lengthwise movement.Adapter 130 has plate fold, this plate fold allow adapter 130 when preventing to damage and/or twisting together with respect to centrage 78 " flexible vertically.Adapter 150 has sky ridge fold, this sky ridge fold allow adapter 150 when preventing to damage and/or twisting together with respect to centrage 78 " ' flexible vertically.Plate fold and empty ridge fold prevent that all flexible connector 130,150 from damaging and/or twist together when bending.Within the scope of the invention, also can use the fold of other type or style.Adapter 130,150 has cover link 52 ', 52 " and pipeline link 46 ', 46 ".Although undeclared among Figure 13-14 and the 15-16, adapter 130,150 can comprise the rotary connector of all two-part rotary connectors 28 as shown in Figure 2.
Figure 17-22 has illustrated the embodiment of various adapters in accordance with the principles of the present invention, and these adapters are used for being connected with the housing 24 of patient interface device 20; Thereby do not need bent sub 22,22 '.For example, with reference to Figure 17, adapter 160 comprises the pipeline link 162 that is used for rotatably being couple to the cover link 161 of housing 24 and is used to be couple to pipeline 14.Adapter 160 also comprises first flexible coupling 163 with the first end 163a and second end 163b; Second flexible coupling 164 with the first end 164a and second end 164b; Provide the exhaust component 165 of exhaust passage with the expiration that is used to the patient.In this was provided with, the second end 163b that the first end 163a of first flexible coupling 163 is attached to cover link 161, the first flexible couplings 163 was attached to exhaust component 165.In addition, the first end 164a of second flexible coupling 164 is attached to pipeline link 162, and the second end 164b of second flexible coupling 164 is attached to exhaust component 165.In this manner, exhaust component 165 be provided with respect to adapter 160 or with adapter 160 coaxial placements.First flexible coupling 163 and second flexible coupling 164 comprise many elephant skin films and fold separately.The elephant skin film can comprise longitudinally inwardly elephant skin film, fold and/or venturi portion.
Adapter 160 for example also comprises rotary connector 166 as shown in figure 17, and this rotary connector 166 is attached between second flexible coupling 164 and the pipe jointer end 162.Within the scope of the invention, can consider rotary connector 166 is repositioned on the adapter 160.For example, but also unrestricted, rotary connector 166 can be positioned between first flexible coupling 163 and the cover link 161.Cover link 161 and rotary connector 166 provide bigger freedom of motion with respect to patient interface device 20 for pipeline 14.In more detail, cover link 161 (when coupling with case 24) permission adapter 160 rotates around central shaft 167 with respect to case 24 (not shown), and rotary connector 166 allows adapters 116 to rotate around central shaft 168 with respect to pipeline 14 (not shown).
With reference to Figure 18-19, it has illustrated the adapter 170 according to optional embodiment.Discuss in conjunction with Figure 17 as top, adapter 170 comprises cover link 161 and pipeline link 162.Yet the setting of the exhaust component 165 of adapter 170 is different with adapter 160.More particularly, exhaust component 165 is positioned between single flexible connector 171 and the pipe jointer end 162.Also designing exhaust component 165 can be positioned between flexible coupling 171 and the cover link 161.Regardless of changing, the function of exhaust component 165 remains unchanged, and the expiration that is the patient provides exhaust channel.Flexible coupling 171 comprises many elephant skin films or fold.The elephant skin film can comprise longitudinally inwardly elephant skin film, fold and/or venturi portion.Although illustrated adapter 170 does not have rotary connector 166, within the scope of the invention, can consider rotary connector 166 is added to adapter 170.
In addition, adapter 170 comprises the hinged member 172 that effectively is communicated with flexible coupling 171, and is used to limit the range of movement of flexible coupling 171.Hinged member 172 comprises the first end 172a and the second end 172b.In the present embodiment, the first end 172a of hinged member 172 is attached to the first end 171a of cover link 161 and/or flexible coupling 171, and second end of hinged member 172 is attached to the second end 171b of pipe jointer end 162 and/or flexible coupling 171.As a result, allow quantity of motion by flexible coupling 171; Yet this moves through hinged member 172 and is limited to specific direction and angle particularly.Usually, hinged member 172 is by flexible material or have still less than flexible coupling 171 that half rigid material of suppleness constitutes.Hinged member 172 can be for example by the silicones of TPE, higher hardness (for example, more than or equal to 70 shore hardnesses) and/or thermoplastic polyester elastomer (the i.e. Hytrel that makes by Du Pont
TM) make.
Hinged member 172 comprises first clasp 173 and second clasp 174.Especially, the first end 172a of hinged member 172 is first clasp 173, and the second end 172b of hinged member 172 is second clasp 174.First clasp 173 engages 175 with second clasp 174 by bent sub and is connected.This set not only allows to provide suitable restriction to motion, also can provide default resting position, and this resting position can be determined by the static structures or the default position of hinged member 172.
The adapter with hinged member 172 ' 180 that further applies restriction for the range of movement of flexible coupling 171 has been shown among Figure 20.Adapter 180 comprises the cover link 161 ' that is used for rotatably being couple to case 24 and pipeline link 162.In addition, adapter 180 comprises the hinged member 172 ' with the first end 172a ' (being depicted as the first arm 176) and second end 172b ' (being depicted as second arm 177).In the present embodiment, the first arm 176 is connected at pin joint 178 places movingly with second arm 177, so that hinged member 172 ' can rotate around pin joint 178, thereby limits range of movement.
Although not shown among Figure 20, adapter 180 also can comprise rotary connector 166.For example, rotary connector 166 can attach between flexible coupling 171 and the cover link 161 and/or be connected between flexible coupling 171 and the pipeline link 162.Various parts and subassembly that a kind of like this rotation is configured to this structure provide bigger motion and distortion scope.
In order to limit range of movement better, hinged member 172,172 ' can be made by being essentially flexible material, and clasp 173,174 situations shown in Figure 18 and 19 are perhaps made by being essentially inflexible material, arm 176,177 as shown in figure 20.Certainly, the use of rigid material provides the more restrictions and the limited range that move along particular axis, and has eliminated essential transverse movement in fact.
Figure 21 and 22 shows adapter 190 according to yet another embodiment of the invention.In this embodiment, hinged member 172 " be considered to " live hinged " and operationally be communicated with to limit the range of movement of flexible coupling 171 with flexible coupling 171.Hinged member 172 " be unitary piece hinge.Especially, hinged member 172 " have first an end 172a " and the second end 172b ".Hinged member 172 " the first end 172a " be attached to a part and the hinged member 172 of flexible coupling 171 " and the second end 172b " be attached to another part of flexible coupling 171.In this manner, flexible coupling 171 exists with the form of bent sub.
And then, can expect flexible coupling 171 is remained acute angle, as shown in figure 21.Hinged member 172 " can make by flexible material, and can by further casting mold or with flexible coupling 171 casting molds together, for example integrally formed with flexible coupling 171.Therefore, hinged member 172 " and flexible coupling 171 can make by identical materials.For example, adapter 190 can be made by molding process by the various materials that can cast.Further, flexible material can be lactoprene, polymer, thermoplastic, moulding material, plastic material, synthetic material or the like.
The patient interface device 20 of any or all embodiment of the present invention transmits respiratory air flow from pressure generating equipment 12 to patient's air flue, and this pressure generating equipment for example is respirator, CPAP equipment or produces and issue such as the automatic pressure regulation support equipment or by the Respironics company of PA Pittsburgh
The variable pressure equipment of equipment; in this variable pressure equipment; the pressure that offers the patient changes along with patient's breathing cycle so that the height during the pressure ratio of intake period transmission is exhaled; or automatic pressure regulation back-up system; whether pressure changes along with patient's situation in this system, snoring or asphyxia or hypopnea are not occurring such as the patient.
The present invention designs exhaust component 165 can have any configuration, as long as can realize the gas function of discharging q.s in atmosphere.For example, can dispose exhaust component, maybe can dispose exhaust component so that variable flow rate to be provided to be provided for the lasting flow velocity of discharging waste gas in atmosphere; For example, depend on gas pressure in the closed system.
In an illustrated embodiment, exhaust component 165 is limited by a plurality of passages that are arranged on its wall.The quantity in hole, size, hole pattern and shape can have any configuration.U.S. Patent application No.10/119 discloses an example of a kind of porous type exhaust component that is suitable for using in the present invention or assembly in 673 (publication number is 2003/0005931), quote its content full content here as a reference.Should also be noted that cover upward only need be provided with an exhaust component or assembly, as long as the waste gas flow velocity is enough to provide competent toxic emission function.If do not need from system discharging waste gas or exhaust component be set, then can omit this exhaust component in other place such as patient circuit.
Can design and be attached to supplementary features among above-mentioned one or more embodiment and/or be attached in one or more combination of the foregoing description.For example, exhaust component 165 can be combined among flexible connector shown in Fig. 1-16 one or more.Also can design by in the part of flexible material, directly placing some air vents and realize degassing function, such as but not limited to, directly place by cover coupling part 26.
As another example, Figure 23 has illustrated a plurality of characteristics of a plurality of features of being combined with flexible connector shown in Figure 17 160, flexible connector 170 shown in Figure 180 and the flexible connector 200 of previous NM supplementary features.More particularly, flexible connector 200 comprises cover link 161, pipeline link 162, first flexible coupling 163 (having the first end 163a and the second end 163b), second flexible coupling 164 (having the first end 164a and the second end 164b) and exhaust component 165.Adapter 200 also comprises the hinged member 172 of the range of movement that is used to limit flexible coupling 163 and 164.
In addition, adapter 200 also comprises transfer valve 202 and the relevant pad 206 between the first end 164a that is combined in second flexible coupling 164 and the pipeline link 162.In the embodiment shown in Figure 23, transfer valve 202 comprises opening 203, when respiratory air flow when pressure generating equipment 12 is sent to patient's air flue, this opening 203 can be closed by flank 204 usually.Use transfer valve 202 so that opening 203 is normally opened when respiratory air flow interrupts (, flank 204 is not exclusively closed opening 203).As a result, if respiratory air flow interrupts, the patient can provide surrounding air.
In U.S. Patent No. 5,438, the example that is suitable for other transfer valve of using with the present invention is disclosed, at this in conjunction with its full content as a reference in 981,5,647,355 and 6,851,425.Although be depicted as independent assembly, can design exhaust component 165 and transfer valve 202 are combined as single component.U.S. Patent application No.11/312 discloses an example that is suitable for the exhaust member/entrainment valve combination used with the present invention in 027 (publication number is 2003/0005931), quote its full content as a reference at this.
Pad 206 is used to be provided at being rotatably connected between cover link 162 and the transfer valve 202.In the present embodiment, use pad 206 during transfer valve 202 is with respect to 162 rotations of cover link, to reduce friction.
Although based on being considered to do actual at present and preferred embodiment is in task of explanation and has described the present invention, but should be appreciated that, these details only are to be not limited to the disclosed embodiments for this purpose and the present invention, on the contrary, this invention is intended to cover the interior modification and the equivalent of spirit and scope of appended claims.For example, be appreciated that the present invention design as much as possible any embodiment one or more features can with one or more characteristics combination of any other embodiment.
Claims (27)
1, a kind of adapter (10) that is used for transfer canal (14) is connected to patient interface device (20) comprising:
Flexible coupling with elephant skin membrane portions; And
Be connected to the rotary connector of described flexible coupling.
2, adapter according to claim 1 (10), first end (46) of wherein said flexible coupling (46) is used for being connected with first end (48) of described rotary connector (28), second end (50) of wherein said flexible coupling (26) is used for being connected with described transfer canal (14), and second end (34) of wherein said rotary connector (28) is used for being connected with described patient interface device (20).
3, adapter according to claim 1 (10), first end (46) of wherein said flexible coupling (26) is used for being connected with first end (48) of described rotary connector (28), second end (50) of wherein said flexible coupling (26) is used for being connected with described patient interface device (20), and second end (34) of wherein said rotary connector (28) is used for being connected with described transfer canal (14).
4, adapter according to claim 1 (10), wherein said elephant skin membrane portions (56) has the cross section that is essentially the S-type.
5, adapter according to claim 1 (70), wherein said elephant skin membrane portions (76) has venturi portion (74).
6, adapter according to claim 1 (150,160), wherein said elephant skin membrane portions has a plurality of fold (130,150).
7, adapter according to claim 1 (160) further comprises exhaust component (165), and described exhaust component (165) is used to patient's expiration that the exhaust passage is provided.
8, adapter according to claim 1 (170) further comprises hinged member (172), and described hinged member (172) is used to limit the quantity of motion of described flexible coupling (171).
9, adapter according to claim 1 (200) further comprises transfer valve (202), and described transfer valve (202) is used for providing surrounding air to described patient when the respiratory air flow that is sent to the patient is interrupted.
10, a kind of adapter (10) that is used for transfer canal (14) is connected to patient interface device (20) comprising:
Flexible coupling (26) with elephant skin membrane portions (54), described elephant skin membrane portions have the inside elephant skin film of vertical sensing.
11, adapter according to claim 10 (10), wherein said flexible coupling (26) are used for being connected with at least one with described patient interface device (20) of described transfer canal (14).
12, adapter according to claim 11 (10) further comprises being used for the rotary connector (28) that is connected with described flexible coupling (26).
13, adapter according to claim 12 (10), first end (46) of wherein said flexible coupling (26) is used for being connected with first end (48) of described rotary connector (28), second end (50) of wherein said flexible coupling (26) is used for being connected with described transfer canal (14), and second end (34) of wherein said rotary connector (28) is used for being connected with described patient interface device (20).
14, adapter according to claim 12 (10), first end (46) of wherein said flexible coupling (26) is used for being connected with first end (48) of described rotary connector (28), second end (50) of wherein said flexible coupling (26) is used for being connected with described patient interface device (20), and second end (34) of wherein said rotary connector (28) is used for being connected with described transfer canal (14).
15, adapter according to claim 12 (160) further comprises exhaust component (165), and described exhaust component (165) is used to described patient's expiration that the exhaust passage is provided.
16, adapter according to claim 10 (10), wherein said elephant skin film (56) has the cross section that is essentially the S-type.
17, adapter according to claim 10 (170) further comprises hinged member (172), and described hinged member (172) is used to limit the quantity of motion of described flexible coupling (171).
18, adapter according to claim 10 (200) further comprises transfer valve (202), and described transfer valve (202) is used for providing surrounding air to described patient when the respiratory air flow that sends the patient to is interrupted.
19, a kind of system (5) that is used for transmitting to the patient pressure breathing gas comprising:
Patient interface device (20);
Be used to produce the air-flow generation equipment (12) of air-flow;
Transfer canal (14) with first end (16) and the second end (18), described first end (16) effectively is couple to described air-flow and is produced equipment (12), and wherein said transfer canal (14) is used for transporting the described air-flow that produces equipment (12) from described air-flow at described system (5) duration of work;
Be used for described transfer canal (14) is connected to the adapter (10) of described patient interface device (20), described adapter (10) comprising:
Flexible coupling (26) with elephant skin membrane portions (56); And
Be connected to the rotary connector (28) of described flexible coupling (26).
20, system according to claim 19 (5), first end (46) of wherein said flexible coupling (26) is used for being connected with first end (48) of described rotary connector (28), second end (50) of wherein said flexible coupling (26) is used for being connected with described transfer canal (14), and second end (34) of wherein said rotary connector (28) is used for being connected with described patient interface device (20).
21, system according to claim 19 (5), first end (46) of wherein said flexible coupling (26) is used for being connected with first end (48) of described rotary connector (28), second end (50) of wherein said flexible coupling (26) is used for being connected with described patient interface device (20), and second end (34) of wherein said rotary connector (28) is used for being connected with described transfer canal (14).
22, system according to claim 19 (5), wherein said elephant skin membrane portions (56) has the cross section that is essentially the S-type.
23, system according to claim 19 (5), wherein said elephant skin membrane portions (76) has venturi portion (74).
24, system according to claim 19 (5), wherein said elephant skin membrane portions have a plurality of fold (130,150).
25, system according to claim 19 (5), wherein said adapter (160) further comprises exhaust component (165), described exhaust component (165) is used to described patient's expiration that the exhaust passage is provided.
26, system according to claim 19 (5), wherein said adapter (170) further comprises hinged member (172), described hinged member (172) is used to limit the quantity of motion of described flexible coupling (171).
27, system according to claim 19 (5), wherein said adapter (200) further comprises transfer valve (202), described transfer valve (202) is used for providing surrounding air to described patient when described air-flow is interrupted.
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
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US11/809,940 US7726309B2 (en) | 2006-06-05 | 2007-06-04 | Flexible connector |
PCT/US2007/070422 WO2007143655A2 (en) | 2006-06-05 | 2007-06-05 | Flexible connector |
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CN101460211B CN101460211B (en) | 2013-01-30 |
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CN102294067A (en) * | 2010-05-20 | 2011-12-28 | 德尔格医疗有限责任公司 | Connecting unit for components in a breathing system |
CN103118733A (en) * | 2010-08-27 | 2013-05-22 | 雷斯梅德有限公司 | Pap system |
US9616190B2 (en) | 2010-08-27 | 2017-04-11 | Resmed Limited | PAP system |
CN103619391A (en) * | 2011-06-21 | 2014-03-05 | 雷斯梅德有限公司 | Pap system |
CN103619391B (en) * | 2011-06-21 | 2016-03-09 | 瑞思迈有限公司 | Pap system |
US10973999B2 (en) | 2011-06-21 | 2021-04-13 | ResMed Pty Ltd | PAP system |
CN105283212A (en) * | 2013-04-11 | 2016-01-27 | 费雪派克医疗保健有限公司 | Flexible mask coupling |
CN105283212B (en) * | 2013-04-11 | 2018-05-22 | 费雪派克医疗保健有限公司 | Flexible mask connector |
CN104056334A (en) * | 2014-07-14 | 2014-09-24 | 成都万顺达模具零件有限公司 | Flexible pipe |
Also Published As
Publication number | Publication date |
---|---|
EP2029204A2 (en) | 2009-03-04 |
WO2007143655A2 (en) | 2007-12-13 |
US20070277828A1 (en) | 2007-12-06 |
JP2009539497A (en) | 2009-11-19 |
CN101460211B (en) | 2013-01-30 |
WO2007143655A3 (en) | 2008-10-30 |
WO2007143655A9 (en) | 2008-01-31 |
US7726309B2 (en) | 2010-06-01 |
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